Carly W Thomas, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

012280 Issued in GA

Practice address

3227 N Oak St Ext
Suite a
Valdosta, GA 31605

Phone

(229) 247-3200

Fax

(229) 241-1900

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SGPC, PC

  • Pediatric Dentistry
  • Valdosta, GA
  • NPI 1104128263
  NPD (past)
• Southland Childrens Dentistry Valdosta, LLC

  • Pediatric Dentistry
  • Valdosta, GA
  • NPI 1265921837
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568569820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 N OAK ST EXT",
            "address_2": "SUITE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31605",
            "telephone_number": "229-247-3200",
            "fax_number": "229-241-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 N OAK ST EXT",
            "address_2": "SUITE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31605",
            "telephone_number": "229-247-3200",
            "fax_number": "229-241-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CARLY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "012280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00917067A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapy Center Counseling & Consultation
• Therapy Center Valdosta, LLC
• Thomas Foot and Ankle Clinic LLC
• Amanda Kate Thomas, MED CCC-SLP
• Ashlyn Blythe Thomas, OTR/L
• Dennis Russell Thomas, M.D.
• Jenna E Thomas, LMSW
• Joseph Stuart Thomas, MD
• Kathleen Anderson Thomas, M.ED CF SLP
• Lindsay Brooke Thomas

• Pediatric Dentistry in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.